THE DEVELOPMENT OF NURSING CARE MODEL IN PATIENTS WITH TOTAL KNEE REPLACEMENT RECONSTRUCTIVE SURGERY
Received: 27th January 2023, Revised: 19th March 2023, 16th April 2023, Accepted: 21st April 2023
DOI:
https://doi.org/10.20319/lijhls.2023.8.4460Keywords:
Nursing Care Model, Total Knee Replacement Surgery, Operation Room, Patient, Guidelines, Surgery, NurseAbstract
This research aims to develop a nursing care model for patients undergoing total knee replacement surgery (TKR) using the models Kemmis and McTaggart (1988) as development guidelines. The study has started from April to July 2020 in Operation Department, Loei hospital, Thailand. The purposive sampling method has been selected with participant nurses (n=50). The mixed method design has been used to obtain the new development nursing care model and guidelines for patient care, proper assignment system, and follow-up techniques. The result showed the nurse behavior changed before to after implementing a model in pre-operation, intra-operating, and post-operation stages statistically different at p less than .001 (mean = 4.9 ± 0.1, p<0.001, mean = 1.9 ± 0.1, p<0.001, mean = 2.0 ± 0.0, p<0.001) respectively. The nurse’s satisfaction level after cycle 2 was significantly higher than cycle 1 (mean = 4.2 ± 0.3, p<0.001). The development of the new nursing care model in TKR surgery could lead to changes in the system with gained positive feedback from OR nurses. The nursing leadership, group motivation, and a cooperative nursing team contributed to the successful operation of the new model. This research recommended following this model’s protocols as a routine and further expanding to other departments such as outpatient, inpatient, and continuous care units.
References
Alexander, V., Ellis, H., & Barrett, B. (2016). Medical–Surgical Nurses’ Perceptions of Psychiatric Patients: A Review of the Literature with Clinical and Practice Applications. Archives of Psychiatric Nursing, 30 (2), 262–270. https://doi.org/10.1016/j.apnu.2015.06.018
Chotanaphuti, T., Kawinwonggowit, V., Leelasestaporn, C., & Rojviroj, S. (2018). A Real-World Management of Osteoarthritis (Oa) Knee Patients Who Undergo Total Knee Replacement – A Retrospective Study in Thailand. (Armor Study). Journal of Southeast Asian Medical Research, 2 (1), 45–57. https://doi.org/10.55374/jseamed.v2i1.23
Creswell, J. W. (2013). Qualitative Inquiry & Research Design: Choosing among Five Approaches (3rd ed.). Thousand Oaks. CA: SAGE.
DeSanto-Madeya, S. (2007). Using Case Studies Based on a Nursing Conceptual Model to Teach Medical-Surgical Nursing. Nursing Science Quarterly, 20 (4), 324–329. https://doi.org/10.1177/0894318407307159
Edmonds, B., Grimm, V., Meyer, R., Montañola, C., Ormerod, P., Root, H., & Squazzoni, F. (2019). Different Modelling Purposes. Journal of Artificial Societies and Social Simulation, 22 (3), 6. https://doi.org/10.18564/jasss.3993
Fetters, M. D., Curry, L. A., & Creswell, J. W. (2013). Achieving Integration in Mixed Methods Designs-Principles and Practices. Health Services Research, 48 (6pt2), 2134–2156. https://doi.org/10.1111/1475-6773.12117
Hall, L. M., Doran, D., & Pink, G. H. (2004). Nurse Staffing Models, Nursing Hours, and Patient Safety Outcomes: JONA: The Journal of Nursing Administration, 34 (1), 41–45. https://doi.org/10.1097/00005110-200401000-00009
Havaei, F., MacPhee, M., & Dahinten, S. (2019). The effect of nursing care delivery models on quality and safety outcomes of care: A cross-sectional survey study of medical-surgical nurses. Journal of Advanced Nursing, 75 (10), 2144–2155. https://doi.org/10.1111/jan.13997
Hu, Y., Chen, X., Wang, S., Jing, Y., & Su, J. (2021). Subchondral bone microenvironment in osteoarthritis and pain. Bone Research, 9 (1), 20. https://doi.org/10.1038/s41413-021-00147-z
Jakobsson, U., & Hallberg, I. R. (2002). Pain and quality of life among older people with rheumatoid arthritis and/or osteoarthritis: A literature review. Journal of Clinical Nursing, 11 (4), 430–443. https://doi.org/10.1046/j.1365-2702.2002.00624.x
Joungtrakul, J., Sheehan, B., & Aticomsuwan, S. (2013). Qualitative data collection tool: A new approach to developing an interview guide. AFBE Journal, 6 (2), 140–154. https://so05.tci-thaijo.org/index.php/mmr/article/view/255202
Kemmis, S., & McTaggart, R. (1992) The Action Research Planner (3rd ed.). Geelong: Deakin University Press.
Kloppenburg, M., & Berenbaum, F. (2020). Osteoarthritis year in review 2019: Epidemiology and therapy. Osteoarthritis and Cartilage, 28 (3), 242–248. https://doi.org/10.1016/j.joca.2020.01.002
Li, Z., Marshall, A. P., Lin, F., Ding, Y., & Chaboyer, W. (2022). Knowledge of pressure injury in medical and surgical nurses in a tertiary level hospital: A cross-sectional study. Journal of Tissue Viability, 31 (1), 24–29. https://doi.org/10.1016/j.jtv.2021.12.003
Lin, P.-C., Hung, S.-H., Wu, H.-F., Hsu, H.-C., Chu, C.-Y., & Su, S.-J. (2011). The effects of a care map for total knee replacement patients: Effectiveness of TKR care map. Journal of Clinical Nursing, 20 (21–22), 3119–3127. https://doi.org/10.1111/j.1365-2702.2011.03804.x
Liu, C., Liu, R., Tang, M., Yang, X., & Gong, X. (2019). Role and mechanism of nursing cooperation and tetramethylpyrazine application in post‑operative pain in patients undergoing total knee arthroplasty. Experimental and Therapeutic Medicine. https://doi.org/10.3892/etm.2019.7203
Long, H., Liu, Q., Yin, H., Wang, K., Diao, N., Zhang, Y., Lin, J., & Guo, A. (2022). Prevalence Trends of Site‐Specific Osteoarthritis From 1990 to 2019: Findings from the Global Burden of Disease Study 2019. Arthritis & Rheumatology, 74 (7), 1172–1183. https://doi.org/10.1002/art.42089
Malley, A., Kenner, C., Kim, T., & Blakeney, B. (2015). The Role of the Nurse and the Preoperative Assessment in Patient Transitions. AORN Journal, 102 (2), 181.e1-181.e9. https://doi.org/10.1016/j.aorn.2015.06.004
Mandour, N., Shahin, E., & Abd El Reheem, H. (2022). Quality of Life for Patients After Total Knee Replacement Surgery. Port Said Scientific Journal of Nursing, 9 (1), 100–118. https://doi.org/10.21608/pssjn.2022.88681.1133
Mantyh, P. W. (2014). The neurobiology of skeletal pain. European Journal of Neuroscience, 39 (3), 508–519. https://doi.org/10.1111/ejn.12462
Mora, J. C., Przkora, R., & Cruz-Almeida, Y. (2018). Knee osteoarthritis: Pathophysiology and current treatment modalities. Journal of Pain Research, Volume 11, 2189–2196. https://doi.org/10.2147/JPR.S154002
Nakpalad, W., Koopantawee, N., & Sangchan, H. (2019). The Development and Evaluation of Clinical Nursing Practice Guideline for Promoting the Recovery of Older Patients with Total Knee Arthroplasty. Journal of The Police Nurses, 11(1), 73–85. https://he01.tci-thaijo.org/index.php/policenurse/article/view/167164
Pulkkinen, M., Junttila, K., & Lindwall, L. (2016). The perioperative dialogue—A model of caring for the patient undergoing a hip or a knee replacement surgery under spinal anaesthesia. Scandinavian Journal of Caring Sciences, 30 (1), 145–153. https://doi.org/10.1111/scs.12233
Redondo-Sáenz, D., Cortés-Salas, C., & Parrales-Mora, M. (2023). Perioperative Nursing Role in Robotic Surgery: An Integrative Review. Journal of perianesthesia nursing: official journal of the American Society of PeriAnesthesia Nurses, S1089-9472 (22) 00594-9. Advance online publication. https://doi.org/10.1016/j.jopan.2022.11.001
Reyes III, R., Reyes, J. P., & Martinez, M. C. (2022). Work-Related Problems and Performance Level of Senior High School Teachers. LIFE: International Journal of Health and Life-Sciences, 8 (1), 01–22. https://doi.org/10.20319/lijhls.2022.81.0122
Reyes, J. (2019). Caring Theory in Correlation to Hospital Organizational Culture Towards A Sustainable Holistic Program for Nurses. LIFE: International Journal of Health and Life-Sciences, 5 (3), 21–40. https://doi.org/10.20319/lijhls.2019.53.2140
Rönn, K., Reischl, N., Gautier, E., & Jacobi, M. (2011). Current Surgical Treatment of Knee Osteoarthritis. Arthritis, 2011, 1–9. https://doi.org/10.1155/2011/454873
Thomas, McColl, Cullum, Rousseau, & Soutter. (1999). Clinical guidelines in nursing, midwifery and the therapies: A systematic review. Journal of Advanced Nursing, 30 (1), 40–50. https://doi.org/10.1046/j.1365-2648.1999.01047.x
Wehling, P., Moser, C., & Maixner, W. (2016). How does surgery compare with advanced intra-articular therapies in knee osteoarthritis: Current thoughts? Therapeutic Advances in Musculoskeletal Disease, 8 (3), 72–85. https://doi.org/10.1177/1759720X16642405
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Rattiya Santisathaporn, Thanuset Chokpiriyawat
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright of Published Articles
Author(s) retain the article copyright and publishing rights without any restrictions.
All published work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
